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Fracture in a middle-aged man: uncovering the inside story
  1. Li-Chien Chang,
  2. Shun-Neng Hsu,
  3. Chun-Chi Chen,
  4. Chia-Chao Wu
  1. Division of Nephrology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  1. Correspondence to Dr Chia-Chao Wu, Division of Nephrology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, 325, Sec 2, Cheng-Kung Road, Neihu, Taipei 114, Taiwan; lemo1900soon{at}gmail.com

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A 41-year-old man with a 4-year history of maintenance haemodialysis presented to the emergency department with painful disability of his right arm after a falling accident from 3-step stairs. Physical examination revealed local swelling, deformity and tenderness of the right arm. Radiography demonstrated a transverse and displaced fracture of the right distal humerus (figure 1). Unexpectedly, …

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